Puffy eyes 7 months after eyelid surgery - will it improve? (photos)

The appearance of so-called malar bags can be diminished by the skillful use of an appropriate, robust HA filler properly injected by an experienced, board certified cosmetic dermatologist filler expert. This treatment can not only diminish the appearance of the malar bags, but can create a more oval, heart-shaped feminine face. Hope this helps and best of luck.

To make a quality assessment for the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures. The single picture even included if a little bit difficult to interpret. It looks like you may have some malar edema, and you don’t have significant bulging of the lower eyelid fat pads.
It’s difficult to tell from the pictures if you were a good candidate for a lower eyelid blepharoplasty in the first place. It looks like you have some volume lost in the tear trough area as well.
To get a proper second opinion, I suggest you get a complete sense of proper before and after pictures. If you don’t have those ask your surgeon to forward the pictures they took. You should also get a copy of your operative report and bring that with you if any in person second opinion consultation.
Best,
Mats Hagstrom, MD